ORTHO EXPRESS HOLDING COMPANY, LLC


Address: 125 Goodman Rd W Ste D, Southaven, MS 38671-9481
Phone: 6629323560

ORTHO EXPRESS HOLDING COMPANY, LLC (NPI# 1497396931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497396931
Entity Type Organization
Organization Name ORTHO EXPRESS HOLDING COMPANY, LLC
Other Organization Name ORTHOXPRESS OF SOUTHAVEN
Practice Address 125 Goodman Rd W Ste D
Southaven
MS 38671-9481
Mailing Address 206 Oxford Rd
New Albany
MS 38652-3115
Practice Telephone 6629323560
Practice Fax Number 6625342330
Mailing Telephone 6625342227
Enumeration Date 2019-10-07
Last Update Date 2020-10-06
Authorized Official Name JENNIFER C BULLOCK (PRESIDENT)
Authorized Official Telephone 6625342227
Is Organization Subpart Y
Parent Organization Name ORTHO EXPRESS HOLDING COMPANY, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
OrthoXpress of Southaven Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962029249 Ortho Express Holding Company, LLC Clinic/Center 608 W Church St, Booneville, MS 38829 2020-07-02
1780218289 Ortho Express Holding Company, LLC Podiatrist 3952 N Gloster St Ste C, Tupelo, MS 38804-0913 2020-02-24
1518527688 Ortho Express Holding Company, LLC Podiatrist 1200 Office Park Dr, Oxford, MS 38655-3597 2019-06-19
1629596804 Ortho Express Holding Company, LLC Orthopaedic Surgery 173a Whaley Dr, Ste B, Holly Springs, MS 38635 2017-09-07
1720506264 Ortho Express Holding Company, LLC Orthopaedic Surgery 3952c N Gloster St, Tupelo, MS 38804-0913 2017-09-05
1578189973 Ortho Express Holding Company, LLC Clinic/Center 806 Earl Frye Blvd, Amory, MS 38821-5505 2020-06-22
1710545439 Ortho Express Holding Company, LLC Orthopaedic Surgery 101 Wilburn Way, Starkville, MS 39759-3693 2019-05-29
1649748252 Ortho Express Holding Company, LLC Orthopaedic Surgery 2601 Getwell Rd Ste 4, Corinth, MS 38834-6762 2018-11-13

Office Location

Street Address 125 GOODMAN RD W STE D
City SOUTHAVEN
State MS
Zip Code 38671-9481

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215189618 Brandye Nicole Wilson Physician Assistant 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 2008-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285196196 Emma Tinsley-bowles Long Social Worker 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 2019-04-01
1851847586 Tiffany Lashea Jones Adult Companion 8755 Millbranch Road, Southaven, MS 38671 2016-09-01
1538526140 Desoto Pediatric Extended Care LLC Skilled Nursing Facility 750 Stateline Road East, Southhaven, MS 38671 2016-01-27
1073983052 Tara Burt Physical Therapist 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 2015-10-02
1295160463 Ideal Community Care,llc In Home Supportive Care 8869 Centre Str #3, Southaven, MS 38671 2013-09-06
1578995692 Gregory Charles Eakins Jr. Optometrist 338 Goodman Rd West, Southaven, MS 38671 2013-07-31
1295173169 Erica R. Martin Social Worker 975 Swinnea Rdg Ste 3, Southaven, MS 38671 2013-06-12
1386918431 Freds Stores of Tennessee Inc Pharmacy 710 Church Road, Southaven, MS 38671 2012-03-06
1740565613 Mary Jeanette Scruggs Pharmacist 1011 Goodman Rd, Southaven, MS 38671 2011-10-11
1184919268 First Pharmacy Services 5 Pharmacy 5185a Getwell Rd, Southaven, MS 38671 2011-06-16
Find all providers in zip 38671

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407263056 Marie Joyce Barron Orthopaedic Surgery 7545 Airways Blvd, Southaven, MS 38671-5806 2014-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821585241 Jazzma Trice Orthopaedic Surgery 4381 S Eason Blvd Ste 303, Tupelo, MS 38801-6584 2018-04-20
1629596804 Ortho Express Holding Company, LLC Orthopaedic Surgery 173a Whaley Dr, Ste B, Holly Springs, MS 38635 2017-09-07
1720506264 Ortho Express Holding Company, LLC Orthopaedic Surgery 3952c N Gloster St, Tupelo, MS 38804-0913 2017-09-05
1477789964 Letonoff Orthopaedics & Sports Orthopaedic Surgery 452 Court House Road, Suite G, Gulfport, MS 39507 2009-06-10
1063624948 Richard D. Rainey Orthopaedic Surgery 1211 South Gloster, Suite A, Tupelo, MS 38801 2007-05-04
1053530246 Orthoone Sports Medicine & Orthopaedics, Pllc Orthopaedic Surgery 9085 E Sandidge Cv, Suite 200, Olive Branch, MS 38654-3575 2007-04-25
1144209727 Martin M Pomphrey Jr. Orthopaedic Surgery 307 Hospital Rd, Starkville, MS 39759-2155 2006-01-12
1710545439 Ortho Express Holding Company, LLC Orthopaedic Surgery 101 Wilburn Way, Starkville, MS 39759-3693 2019-05-29
1821490723 The University of Southern Mississippi Orthopaedic Surgery 118 College Dr, 5017, Hattiesburg, MS 39406-0002 2014-09-23
1760627996 Glenn Anthony Brien Jr. Orthopaedic Surgery 104 Burney Dr, Flowood, MS 39232-6621 2008-12-02
Find all providers with the same taxonomy

Competitor

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City SOUTHAVEN
Zip Code 38671

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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